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Individual

ABIGAIL D WEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
1201 E MICHIGAN AVE STE 240, JACKSON, MI 49201-1855
(517) 205-1591
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
(313) 876-1305

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2318951
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
4704389144
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110129879A
MA
Enumeration date
07/18/2017
Last updated
11/28/2022
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